Microprocessor Based Automated Arrythmia Monitoring System Cüneyt Gemicioğlu



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web-site via a secure channel. This site will be the backbone of this system. In the near future, the collected medical data in this system's server can be used statistically purposes on medical investigations. In addition, the system will allow theoretically unlimited number of doctors who treat the same patient to perform medical teleconsultation on the Internet. The flexibility in this system will easily undertake some marketing problems in medicine and health insurance sectors by reaching unlimited doctors easily. The use of this tool may be highly beneficial in improving coordination among health care professionals.

Thesis No: 167 Non-Linear Analysis of Epileptic EEG Activity, 2002.



Arzu Ergintav Year: 2002

Advisor: Assoc. Prof. Ahmet Ademoğlu



Abstract: Individuals with epilepsy suffer considerable disability from seizures and resulting injuries, the social isolation attached to having seizures, and from side effects of medical and other therapies. An automatic system that detects/predicts seizure onsets would allow patients or people near them to take appropriate precautions and provide them with more insight into the phenomena with objective manners. The aim of this study is to analyze the epileptic EEG data using correlation dimension and nonlinear prediction algorithms for the detection/prediction of seizure onsets. For this purpose, EEG recordings from three patients were analyzed. The channels used for each patient have been chosen based on the observations of an expert neurologist. The recorded data has been divided into segments of 5s duration. Surrogate data testing has pointed out the nonlinearity in the data sets. Correlation dimension values were observed to show some dependency on seizure events. However, the results obtained from the nonlinear prediction algorithms did not show the same consistency as the correlation dimension results did.

Thesis No: 168 Alternative Aneurysm Coil Detachment System Used for Endovascular Treatment of



Cerebral Aneurysms.

Özgür Kocatürk Year: 2003

Advisor: Assoc. Prof. Mehmed Özkan



Abstract: Coil embolization is an endovascular treatment method for cerebral aneurysms that is an abnormal bulge or blister of an artery wall in the brain. In this treatment method, coils that fill the space of the aneurysm to exclude it from blood circulation must detach from catheter to remain within the bulge of the aneurysms. Today, there are several coil detachment systems that have important deficiencies. In this study, an alternative coil detachment system was developed by considering magnetic-based and nitinol-based approaches. The nitinol based coil detachment system was found reliable, inexpensive and instant detachment mechanism after the in vitro tests. Reducing the size of the catheter and animal studies are required to reach the exact conclusion about this alternative coil detachment system.

Thesis No: 169 A DSP Instrument for Real-Time Classification of Pulmonary Sounds.



Sameer Alsmadi Year: 2003

Advisor: Assoc. Prof. Yasemin P. Kahya



Abstract: The analysis of respiratory sounds is often carried out on digitized signals once they have been sampled and stored as blocks of data. However, the advance of digital signal processing technology and the availability of high speed microprocessors specially designed for digital signal processing have now made it possible to develop systems that can apply complex signal processing algorithms in real time. In this work, a real-time diagnosis system, based on Motorola's 56311 Digital Signal Processor (DSP), was used to design an instrument capable of classifying lung sounds into two classes: healthy and pathological. The instrument has two inputs the first of which is from a microphone placed on the chest of the patient while the other is from a flowmeter that is used to label the lung sounds as belonging to the inspiration or expiration phase. Based on the information they bear and the different mechanisms that generate them, the stored lung sounds of a full respiratory cycle are divided, with the help of the flow signal, into six distinctive sub-phases. Next, each sub-phase is further divided into ten 25 per cent overlapping segments. After being weighted by a Hamming window with a length of 512 points, each segment is modeled by an autoregressive model of order six by means of the efficient Levinson-Durbin algorithm.The classification of each of the resulting 60 feature vectors can be done using two different types of classifiers: the k-nearest neighbor classifier based on either the Itakura, Euclidean, or city-block distance measure, and the minimum distance classifier based on the quadratic Mahalanobis distance measure. The classification of the whole respiratory cycle, however, is made using the majority voting method. Both of the classifiers were trained using different reference libraries obtained from 21 healthy subjects and 21 patients suffering from various restrictive or/and obstructive pulmonary diseases. The selection of the desired classifier type and the distance measure to be used in the diagnosis process can be done using the push-buttons located on the front panel of the instrument. These buttons also provide the user with the choices of recording, listening and digital filtering of the respiratory data. The software was written entirely in assembly language and a character display (LCD) was used for displaying the selected menu items, diagnosis result and other messages that convey information regarding the current state of the system.

Thesis No: 170 Fatigue Related EMG Power Spectrum Changes During Dynamic Contractions in Female Rowers.



Selda Uzun Year: 2003

Advisor: Assoc. Prof. Mehmed Özkan



Abstract: The Surface Electrompography (SEMG) signal allows a good assessment of meuromuscular activity a noninvasive tool. While muscle fatigef is a complex multifaceted phenomenon, in sedentary subjects it is characterized by changes of spectral parameters. If these criteria are also valid for athletes, monitoring training and performance development as well as scientific research on muscular adaptations during intense physical exercise will be facilitated. For this purpose ten healthy female rowers of the Turkish National Team were selected. SEMG recordings were obtained from the muscles Vastus Lateralis (VL). The fatigue test with 80% Maximum Voluntary Contraction (MVC) consisted of two identical tests. First, the subjects performed repetitive auxotonic knee extensions to maintain for as long as possible (till exhaustion.) After a five-minute rest, the exercise protocol was rereated. The power spectrum was derived from the raw SEMG signal using the Fast Fourier Transform (FFT) algorithm. For the active phasa of each contraction cycle the Median Frequency (MDF) and the Mean Frequency (MNF) were computed from the EMG signal. In addition, the Borg's Category-Ratio Scaleğ (CR-10) was used to measure the perceived muscle exertion.The results of this study show that the inter-individual fatigue profiles differ in power spectrum. Differences are also noted for the first and the second experiments in terms of spectral values. But the MDF and MNF graphics both experiments are greatly similar. What is common for all the subjects is that there are periodic decreases and increases in their MDF and MNF values. Recruitment of larger motor units with higher discharge rates or cyclic recruitment of motor units during sustained auxotonic contractions may be the cause for these interesting findings. This result may represent a special muscular adaptation of elite rowers to intense muscular training.

Thesis No: 171 Detection of Venous Gas Bubbles with Computerized Doppler Ultrasound.



Kadir Tufan Year: 2003

Advisors: Prof. Ahmet Ademoğlu, Prof. S. Murat Egi



Abstract: Venous Gas Embolism (VGE) may occur during the brain and neck surgery where the operative site is higher than the heart. Medium where the pressure changes significantly like diving, aviation and space missions also promote VGE. For this reason, early detection of VEG is very crucial. The Doppler Ultrasound Audio (DUA) signals recorded from two divers detectors are analyzed to detect the embolic waveforms. The optimal pass band characteristics of the embolic event are determined by an extensive bandpass filtering analsis and the optimum band is determined as 4.5-8 KHz. A nonlinear Teager operator and adaptive thresholding is also applied to the filtered DUA for automatic detection of the embolic events. As a last step, a software that can perform all the operations from digitizing the DUA recordings to detecting the embolic events is developed for off-line analysis.

Thesis No: 172 Comparison of 980-nm Diode Laser and ELECTROLYTIC LESIONS in RAT BRAIN



BY SDS-PAGE and CD68.

Özgüncem Bozkulak Year: 2003

Advisors: Assist. Prof. Murat Gülsoy, Prof. Neş'e Bilgin



Abstract: There are several techniques used for neurosurgical tumor ablations; lasers are the newest and most effective of all to apply on brain tissue. This thesis study aims to compare the after-effects of two different surgical tools, namely, the established electrosurgical unit and relatively novel surgical 980-nm diode laser on rat brain tissue. In this thesis, in order to analyze the extent of damage created by 980-nm diode laser (2W/2sec) and electrosurgical unit (1.5mA/20sec) in Wistar rat brain tissue, the thermally affected protein content after stereotaxic neurosurgery was investigated by Sodium Dodecyl Sulphate Polyacrylamide Gel Electrophoresis (SDS-PAGE). The effects of both types of lesions on the whole brain and on the thermally altered nearby tissues were investigated. In order to observe the recovery period of brain tissue after bilateral laser induced and electrosurgical lesions, CD68 specific marker was used for the immunohistochemical staining. The morphology and size of thermally altered areas in both lesions were investigated and the amount of macrophages in lesion area were compared. After-effects of both surgical methods were found similar by SDS-PAGE. Thermal effect of electrosurgical unit on brain tissue was ~160% greater than that of laser. The accumulation of macrophages/microglia 7 days after the surgery in electrolytic lesion was nearly ~60% greater than that of laser lesion. No carbonization was observed in any electrolytic lesions.Finally it was found that, 980-nm diode laser (2W/2sec) can be an alternative to electrosurgical unit (1.5mA/20sec) to be used in neurosurgery.

Thesis No: 173 Effects of the 980-nm Diode Laser Versus the Monopolar Electrocoagulator on the Rat Brain.



Haşim Özgür Tabakoğlu Year: 2003

Advisor: Assist. Prof. Murat Gülsoy



Abstract: This work aims to compare thermal effects of 980-nm diode laser and monopolar electrocoagulator on rat brain. 980-nm diode laser was investigated for neurosurgery because of a local peak in absorption spectra of water around this wavelength. The ablation and coagulations created in Wistar rat brain with a diode laser and of electric current were investigated. Lesions were examined histologically by using Cresyl Fast Violet, and Hematoxylin and Eosin staining. Thermally altered areas were determined and classified under microscope. Dimensions of those areas were quantified. The parameters indicating thermal damage were defined as the degree of structural change considering thermal alteration around lesions, the extent of lesions and coagulated zones in three dimensional coordinates (anterior- posterior and ventral axis), and number of viable cells around lesions. Results provided data for greater laser induced ablation areas with less thermal damage to the surrounding tissue. Number of viable cells around ablated area was found greater in laser-lesioned tissue. 980-nm diode laser was found less harmful to adjacent tissues compared to monopolar electrocoagulator.

Thesis No: 174 Microsphere Based Optical Biosensors.



Şenol İşçi Year: 2003

Advisors: Assoc. Prof. Cengizhan Öztürk, Assoc. Prof. Ali Serpengüzel



Abstract: Optical microsphere resonators have recently utilized in quantum optics, laser science, spectroscopy, and optoelectronics and attracted increasing interest due to their unique optical properties. Microspheres possess high quality factor (Q-factor) optical morphology dependent resonances, and have relatively small volumes. Q-factor can be defined as how sharp morphology dependent resonance in the elastic scattering spectrum. High-Q morphology dependent resonances are very sensitive to the refractive index change and microsphere uniformity. These tiny optical cavities, whose diameters may vary from a few to several hundred micrometers, have resonances with reported Q-factors as large as 3 x 109. Due to their sensitivity, morphology dependent resonances of microspheres are also considered for biosensing applications. For instance, binding of a protein or other biomolecules can be monitored by observing the wavelength shift of morphology dependent resonances. A biosensor, based on this optical phenomenon, can even detect a single molecule if a good system design is achieved. In this work, elastic scattering spectra from the microspheres of different materials are experimentally obtained and morphology dependent resonances are observed. Furthermore, the morphology dependent resonances of microspheres for biosensor applications were studied theoretically.

Thesis No: 175 Characterization of Optical Properties of Biological Tissues.



Ömer Pars Kocaoğlu Year: 2003

Advisor: Assist. Prof. Murat Gülsoy



Abstract: Medical laser applications require knowledge about the optical properties of target tissue. In this study, a measurement setup was designed and established in order to investigate optical properties of biological tissues. Optical properties of lamb brain, liver, and heart tissues were investigated in vitro at 632.8-nm (He-Ne laser). For the aim of determining optical properties diffused reflectance, total reflectance, diffused transmittance, and total transmittance were measured by using single integrating sphere technique. The data obtained from experiments were used to calculate absorption and scattering coefficients, albedo and anisotropy factors of the tissues. Lambert-Beer's law and Inverse Adding-Doubling Method were used to calculate the coefficients and factors, and results were compared with ones in literature. Results obtained by Lambert-Beer's law were limited, but Inverse Adding-Doubling Method gives complete coefficients and factors, and they were close to literature values. Both of the calculation procedures were modeled in this study, and outputs were used in a Monte-Carlo Simulation that shows the propagation of light in tissue.

Thesis No: 176 Production of Hydroxylapatite from Animal Bone.



Şeyma Gören Year: 2003

Advisor: Prof. Sabri Altıntaş



Abstract: Hydroxylapatite (HAp) used in orthopedics and dentistry is a ceramic material with a very good biocompatibility. There are two ways of HAp production; production from the natural bone and tooth or, production from an inorganic synthesis method. In this study, HAP is obtained by NaOH degradation of the organic phase in calf femur. Optimum conditions of HAp production were investigated by changing the parameters of solution concentration and temperature in the degradation method. As temperature increases, solutions of lower concentrations gave shorter reaction times. Deproteinized bones were calcined at 850 C for 8 hours, ground, sieved to get particle sizes ≤ 300 μm. Infrared spectrum (FTTR), ESEM micrographs, EDAX and X-ray analysis of natural hydroxy1apatite were obtained and the results were compared with a commercia1 HAP powder. In order to get porous HAp structures, naphthalene was added to HAP powder with particle sizes ≤ 300 μm. Porous samples with porosity around 100 μm were produced. As napthalene composition in the mixture increased, only the pore density increased, but not the pore size. ESEM images of dense and porous HAP structures were obtained and examined.

Thesis No: 177 System Characterization for a Fast Optical Imager.



Uzay Emrah Emir Year: 2003

Advisor: Assoc. Prof. Ata Akın



Abstract: In contrast to morphological imaging, functional imaging captures information about the functioning for living tissues, such as blood circulation and oxygen metabolism, cerebral nervous system, and changes in cromophore concentration. In recent years, progress in PET and MRI technologies has made these measurements possible. However both these systems are large and expensive and they have some limitations such as not being approved for use with infants in non-clinical settings and law temporal resolution. Optical imaging fills this gap by being completely non-invasive, portable, unobtrusive, law-east, and robust to motion artifacts. This M.Sc. thesis is involved with the development and modifications of a prototype fast optical imaging (FOI) system based on the functional near infrared spectroscopy system of University of Pennsylvania. FOI is designed by using inexpensive photodiode (PD) detectors and LEDs working in the near infrared spectrum. In addition to this a new probe design considering limitations of the preceding versions is also completed. The aim of the work was to develop a simple and robust instrument and probe to monitor brain activity, during cognitive task. The ability and effectiveness of the system is tested by several experiments based on phantom studies. Preliminary results are promising to continue on human subjects

Thesis No: 178 Virtual Gamma Camera for Educational Purposes.



Ozan Yılmaz Year: 2003

Advisor: Assoc. Prof. Albert Güveniş



Abstract: Nuc1ear medicine is a medical specialty that uses painless, safe, and cost- effective techniques to image the body and treat disease. In nuc1ear medicine, very small amounts of radioactive materials or radiopharmaceuticals 'are used to diagnose and treat diseases. The radiopharmaceuticals that are attracted to specific organs, bones, or tissues, emit gamma rays that can be detected by gamma or PET cameras. These cameras work with computers to form images, which provide data and information about the imaged area of body. The importance of Monte Car1o simulation in nuc1ear medicine imaging is increased by recent developments in nuc1ear medicine instrumentation and processing systems. The Monte Carlo method is very useful in medical physics due to the stochastic nature of radiation emission, transport and detection processes. Some of the applications of the Monte Car1o method in nuc1ear medical imaging are: Detector modeling, pharmacokinetic modeling, imaging systems and collimators design, attenuation and scatter correction techniques, image reconstruction algorithms, dosimetry and treatment planning. The aim of this work is to design a user-friendly interface that can perform a gamma camera simulation by using the Monte Carlo method. The purpose of this interface is to give the opportunity to student~ and researchers who have basic knowledge about gamma cameras, to understand the fundamentals of gamma camera imaging and to study the effects of the camera characteristics and parameters on the simulated images.

Thesis No: 179 Time-Frequency Analysis of Event Related Brain Potentials Elicited with Four



Different Cognitive Paradigms.

H.Yasemin Keskin Year: 2003

Advisors: Assoc. Prof. Ahmet Ademoğlu, Prof. Tamer Demiralp



Abstract: Event related potentials (ERPs), which reflect fundamental cognitive operations, are generated by the parallel and/or the sequential processing of different neural groups in the brain. In time domain representation of ERPs, temporally overlapping processes are hidden and they cannot be distinguished. However, the surface ERPs can be decomposed into functional neuronal components using time-frequency analysis. The aim of this study is to differentiate the time-frequency components that are related with specific cognitive operations (i.e. signal discrimination, motor response task, motor response inhibition, and context updating) in the auditory ERPs. For this purpose, by making systematic modification in cognitive content of the paradigms, experimental set that consists of four auditory paradigms was designed. ERP reflections of these modifications both in the time domain and in the time-frequency plane were explored in order to assign specific ERP sub-components to specific cognitive processes. Data obtained from 16 healthy volunteers were decomposed by discrete wavelet transform into six sets of wavelet coefficients. Alpha, theta, and delta band coefficients and P200 and P300 measurements of the midline electrodes (Fz, Cz, Pz) that were obtained from individual average ERPs for each stimulus condition were analyzed with five-factor analysis of variance (ANOVA) design. Compared to time domain analysis, results of the time-frequency analysis brought detailed information about the stimulus processing steps in different conditions. However, some components showed varying topographic distributions across the paradigm set. Namely, the wavelet transform could partially decompose these spatially overlapping events into functionally distinct sub-components. Therefore, in order to decompose ERPs more accurately into their functional sub-components, spatial decomposition methods should also be incorporated to the time-frequency analysis.

Thesis No: 180 Shape Optimization of the Femoral Component of Cemented Hip Prosthesis Using Finite



Element Analysis.

Devrim Kılınç Year: 2003

Advisors: Prof. Sabri Altıntaş, Dr. Aykut Sümer



Abstract: Aseptic loosening and strain-adaptive bone remodeling are the two most common phenomena that are associated with the long-term post-operative problems of cemented total hip replacement. These phenomena are related to the stress levels in the cement layer and in the cortical bone, respectively. In the present study, the prosthesis, the cement, and the bone are parametrically modeled. The assembly design is related to three design variables, which represent the length, the thickness, and the sharpness of the prosthesis stem. Two-dimensional finite- element models of the implanted and intact femora are created with the material properties and loading conditions obtained from the literature. A software program utilizing random search method is created and used to achieve the optimal shape of the stem. The objective of the optimization was to minimize the maximum stress in the cement layer, while maintaining a reasonable stress level in the cortical bone. A parametric study relating the stress with the length and the material of the stem is also conducted to verify the result of the optimization. Results of analyses are harmonious with the literature. After 51 solid models and 72 analyses, an optimum stem design is reached. The parametric study reveals that there should be an optimal stem length for each prosthesis material.

Thesis No: 181 Functional Near Infrared Spectroscopy as a Tool for Neuroimaging Studies.



Meryem Çakıroğlu Year: 2003

Advisor: Assist. Prof. Ata Akın



Abstract: Techniques to monitor brain function called functional neuroimaging techniques aim to localize and quantify physiologic changes during mental activity. Functional Near Infrared Spectroscopy (fNIRS) is one of the neuroimaging techniques based on measuring events, which are associated with hemodynamic and metabolic changes in active brain areas. fNIRS provides spectroscopic information on neurovascular coupling parameters during functional brain activation where neurovascular coupling is a generic term for changes in cerebral metabolic rate of oxygen (CMRO2), cerebral blood flow (CBF), and cerebral blood volume (CBV) related to brain activity. The aim of this study is to understand how blood oxygenation of the prefrontal cortex relates to the cognitive activity through detection of task-relevant cognitive events with functional NIRS. For this purpose, Target Detection Task Procedure was performed. We present a preliminary report on this study in order to stimulate further research. Data obtained from 6 healthy subjects was extracted from the eighth photodetector that is located over the middle orbitofrontal region from where fMRI signal increase has been found during the same task. Measured hemodynamic responses are fitted to a gamma function in order to estimate the values of behavioral response time (RT), latency (L), amplitude (C), and time constant (τ) for HBO2 and HB data. Pearson Correlation Coefficient analysis and paired t-tests was performed to maintain information about changes in the parameters of [HBO2] and [HB] response to the infrequent target detection task. Preliminary results are promising to continue experimental studies on human subjects. The present investigations support the results from fMRI studies. Cross validation studies with fMRI, EEG and other modalities would secure the future of this technique as a rapid, non-invasive, affordable tool to assess brain functions and disorders.

Thesis No: 182 Load Independent Trajectory Control for an Artificial Muscle.




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